| Carbon Lehigh Intermediate Unit #21 | |
|
4210 Independence Dr Schnecksville PA 18078-2580 | |
| (610) 769-4111 | |
| Not Available |
| Full Name | Carbon Lehigh Intermediate Unit #21 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4210 Independence Dr, Schnecksville, Pennsylvania |
| Authorized Official Name and Position | Jason T Savenelli (SUPERVISOR) |
| Authorized Official Contact | 6107694111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Lehigh Intermediate Unit #21 4210 Independence Dr Schnecksville PA 18078-2580 Ph: (610) 769-4111 | Carbon Lehigh Intermediate Unit #21 4210 Independence Dr Schnecksville PA 18078-2580 Ph: (610) 769-4111 |
| NPI Number | 1770183469 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770183469 | NPI | - | NPPES |
| 228870 | Other | PA | OMHSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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